Risk Factors for Intertrochanteric Femoral Fractures With Concomitant Lateral Wall Involvement in Elderly Women
NCT ID: NCT07196982
Last Updated: 2025-09-29
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
49 participants
OBSERVATIONAL
2023-01-01
2024-02-28
Brief Summary
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Between January 2023 and February 2024, postmenopausal women who were admitted with intertrochanteric femoral fractures were studied. Among them, some patients had fractures only in the main hip area, while others had additional involvement of the lateral wall, an important supportive structure of the hip. Researchers collected information such as age, body mass index (BMI), bone mineral density (BMD), and bone metabolism markers.
The study found that women with lower BMI and lower bone mineral density at the hip and lumbar spine were more likely to have lateral wall involvement in their fractures. Age and blood markers of bone metabolism did not show a strong link.
Understanding these risk factors can help doctors improve preoperative evaluation, choose better surgical strategies, and recommend preventive measures such as bone health management and fall prevention. This may ultimately reduce complications, improve recovery, and support better long-term outcomes for elderly women with hip fractures.
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Detailed Description
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Conditions
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Study Design
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COHORT
RETROSPECTIVE
Study Groups
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Isolated Intertrochanteric Fracture
Postmenopausal women with intertrochanteric femoral fractures without lateral wall involvement.
No interventions assigned to this group
Intertrochanteric Fracture with Lateral Wall Involvement
Postmenopausal women with intertrochanteric femoral fractures with concomitant lateral wall involvement.
No intervention (observational study)
This is an observational retrospective case-control study. No experimental intervention is administered. All participants received standard surgical management for intertrochanteric femoral fractures according to clinical practice, including proximal femoral nail antirotation (PFNA) with or without additional lateral wall plate fixation. The study only compares clinical and radiological data between patients with isolated intertrochanteric fractures and those with concomitant lateral wall involvement.
Interventions
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No intervention (observational study)
This is an observational retrospective case-control study. No experimental intervention is administered. All participants received standard surgical management for intertrochanteric femoral fractures according to clinical practice, including proximal femoral nail antirotation (PFNA) with or without additional lateral wall plate fixation. The study only compares clinical and radiological data between patients with isolated intertrochanteric fractures and those with concomitant lateral wall involvement.
Eligibility Criteria
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Inclusion Criteria
History of low-energy trauma (e.g., fall from standing height).
Treated surgically with proximal femoral nail antirotation (PFNA) device, with or without lateral wall plate fixation.
Availability of complete demographic and clinical data (age, height, weight, bone mineral density, and bone turnover markers).
Eligible for retrospective case-control analysis.
Exclusion Criteria
Severe systemic comorbidities such as hepatic or renal failure, bone tumors, or endocrine disorders (e.g., hyperparathyroidism).
Use of medications affecting bone metabolism within 6 months before surgery.
Diagnosis of diabetes mellitus.
History of chronic smoking or alcohol abuse.
Inability to provide accurate anthropometric data (height and weight).
65 Years
85 Years
ALL
No
Sponsors
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Second Affiliated Hospital of Soochow University
OTHER
Responsible Party
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Locations
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The medical record system and imaging system of the Second Affiliated Hospital of Soochow University
Suzhou, Jiangsu, China
Countries
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Other Identifiers
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JD-HG-2025-107
Identifier Type: -
Identifier Source: org_study_id
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